Brandon Max Markus, D.O.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

DO154852 Issued in OR

Practice address

2783 Brownwood Blvd
The Villages, FL 32163

Phone

(352) 834-7546

Fax

(352) 383-1951

NPI assigned

Jun 22, 2010

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dermatology Institute and Skin Cancer Center LLCGroup PAC ID 5597187930, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

82.06 of 100Reported as group

Quality

100

Promoting interoperability

100

Improvement activities

40

Cost

40.19

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dermatology Institute and Skin Cancer Center LLC

  • Dermatology Physician
  • The Villages, FL
  • NPI 1891319422
  Medicare reassignment Care Compare group NPD
• Alliant Dermatology PA

  • Dermatology Physician
  • The Villages, FL
  • NPI 1619232501
  Medicare reassignment NPD
• Dermatology Associates of the Palm Beaches PLLC

  • Dermatology Physician
  • West Palm Beach, FL
  • NPI 1649260308
  Medicare reassignment NPD
• Creekside Dermatology PA

  • Dermatology Physician
  • The Villages, FL
  • NPI 1740703818
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1277164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602460800000",
    "number": "1134440365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1793 13TH ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973022541",
            "telephone_number": "503-362-8385",
            "fax_number": "503-362-8385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2783 BROWNWOOD BLVD",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "32163",
            "telephone_number": "352-834-7546",
            "fax_number": "352-383-1951"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1793 13th St SE",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973022541",
            "country_code": "US",
            "telephone_number": "503-362-8385",
            "fax_number": "503-362-8385",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARKUS",
        "first_name": "BRANDON",
        "middle_name": "MAX",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-22",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OR",
            "license": "DO154852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirkland Malone
• Thomas J Mammana, NRP
• Kenneth Mandato
• Edelyn Marie Manning Pagan, MD
• Miguel Mantilla-Villamizar, MD
• Tyler Marsh
• Phoebe Martey
• Martinez Cruz Medical Associates of the Villages LLC
• Bayoan D Martinez-Cruz, MD
• Diana Jean Martino

• Dermatology Physician in The Villages, FL
• Providers in The Villages, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.